Individual
TYLER J HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
230 HOSPITAL PLZ, WESTON, WV 26452-8558
(304) 269-8100
(304) 269-8090
Mailing address
230 HOSPITAL PLZ, WESTON, WV 26452-8558
(304) 269-8100
(304) 269-8090
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2544
WV
207Q00000X
Family Medicine Physician
2544
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810025150
—
WV
Enumeration date
06/21/2010
Last updated
10/08/2014
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